Gowan Group Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

MHL059021 Issued in NC

Legal business name

GOWAN GROUP CARE

Practice address

571 E Court St
Marion, NC 28752-3516

Phone

(828) 652-8755

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Clay Morris Gowan

Title

President

Phone

(828) 652-8755

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Gowan Family Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gowan Family Care, Inc.

  • Adult Care Home Facility
  • Nebo, NC
  • NPI 1710015656
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801915376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 E COURT ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287523516",
            "telephone_number": "828-652-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 E COURT ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287523516",
            "telephone_number": "828-652-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOWAN GROUP CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOWAN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-652-8755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL059021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805502",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deonne Gibbs, OTA
• Demetria Lesha Gilliam-Williams
• Victoria Ann Goforth, LPN
• Adrienne Stearns Goodfred, P.T.
• Samantha Gossett
• Clay M Gowan
• Samantha Camryn Graham
• Andrew D Grant, DC
• Kelsey J Gray
• George Cameron Green, M.D.

• Adult Care Home Facility in Marion, NC
• Providers in Marion, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.